影响重症感染患者ICU治疗时间的危险因素分析

摘要

目的：分析影响重症感染患者ICU治疗时间的危险因素。方法：回顾性分析笔者所在医院ICU于2011年1月-2013年12月收治的重症感染患者72例的临床资料，根据患者在ICU的治疗时间长短将患者分为≤48 h组(32例)与>48 h组(40例)。比较两组患者的临床资料，如来源科室、病史、感染部位、MAP、HR、APACHEⅡ评分、SOFA评分、MODS、DIC、乳酸水平等。结果：两组患者的慢性病史、来源科室、感染部位、HR、MAP水平等资料比较，差异无统计学意义(P>0.05)。两组患者资料在APACHEⅡ评分、SOFA评分、乳酸水平、MODS 和DIC 发病率等方面比较差异有统计学意义(P<0.05)。结论：APACHE-Ⅱ评分、SOFA评分、乳酸水平、DIC及MODS发病率均为影响重症感染患者ICU治疗时间的危险因素。%Objective:To analyse the risk factors for treatment time in ICU patients with severe infection.Method:The clinical data of 72 cases of severe infected patients in our hospital from January 2011 to December 2013 was retrospective analysed,the patients were divided into≤48 h group(32 cases) and > 48h group(40 cases) according to the treatment duration in the ICU.Clinical data was compared between the two groups,such as the source of departments, medical history,the site of infection,MAP,HR,APACHE Ⅱ score,SOFA score,MODS,DIC,lactate levels and so on.Result:Two groups of patients with chronic history, the source of the department,the site of infection,HR,MAP standard and so the differences in the two groups were not statistically significant for the chronic history, the source of the department,the site of infection, HR, MAP standard and so on(P>0.05).The significant differences of two sets of data were mainly in patients with APACHE Ⅱ score,SOFA score, lactate levels, MODS and DIC on morbidity(P<0.05).Conclusion:APACHE-Ⅱ score, SOFA score,lactate levels,DIC and MODS incidence of ICU patients with severe infections are risk factors affecting treatment time.